Individual provider Active NPI

Thomas Jenry Safley III, M.D.

  • Surgery Physician
  • Independence, MO
National Provider Identifier
1346293230
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R5477 Issued in MO
Practice address
17221 E 23Rd St S
Suite 207
Independence, MO 64057-1803
Phone
(816) 373-4646
Fax
(816) 373-7831
NPI assigned
May 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R5477 MO Primary

Addresses

Primary practice location

17221 E 23Rd St S
Suite 207
Independence, MO 64057-1803

Mailing address

17221 E 23Rd St S
Suite 207
Independence, MO 64057-1803
Phone (816) 373-4646

Other identifiers 1

IdentifierTypeStateIssuer
21577OtherMOBNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5477MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Surgical Clinic, Inc. Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/6816

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346293230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17221 E 23RD ST S",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571803",
            "telephone_number": "816-373-4646",
            "fax_number": "816-373-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17221 E 23RD ST S",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571803",
            "telephone_number": "816-373-4646",
            "fax_number": "816-373-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFLEY",
        "first_name": "THOMAS",
        "middle_name": "JENRY",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R5477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "21577",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.